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alveoli
functional units of the lung; the thin-walled chambers surrounded by networks of capillaries that are the site of respiratory exchange of carbon dioxide and oxygen
apnea
cessation of breathing
asthma
an abnormal respiratory condition associated with allergic hypersensitivity to certain inhaled allergens, characterized by inflammation, bronchospasm, wheezing, and dyspnea
atelectasis
an abnormal respiratory condition characterized by collapsed, shrunken, deflated sections of alveoli
bradypnea
slow breathing, fewer than 10 breaths per minute, regular rate
bronchiole
one of the smaller respiratory passageways into which the segmental bronchi divide
bronchitis
inflammation of the bronchi with partial obstruction of bronchi due to excessive mucus secretion
bronchophony
the spoken voice sound heard through the stethoscope, which sounds soft, muffled, and indistinct over normal lung tissue
Bronchovesicular
the normal breath sound heard over major bronchi, characterized by a moderate pitch and an equal duration of inspiration and expiration
chronic obstructive pulmonary disease (COPD)
a functional category of abnormal respiratory conditions characterized by airflow obstruction (e.g., emphysema, chronic bronchitis)
cilia
millions of hairlike cells lining the tracheobronchial tree
consolidation
the solidification of portions of lung tissue as it fills up with infectious exudate, as in pneumonia
crackles
abnormal, discontinuous, adventitious lung sounds heard on inspiration
crepitus
coarse, crackling sensation palpable over the skin when air abnormally escapes from the lung and enters the subcutaneous tissue
dyspnea
difficult, labored breathing
Emphysema
type of chronic obstructive pulmonary disease characterized by enlargement of the alveoli distal to terminal bronchioles
fissure
the narrow crack dividing the lobes of the lungs
fremitus
a palpable vibration from the spoken voice felt over the chest wall
friction rub
a course, grating, adventitious lung sound heard when the pleurae are inflamed
hyperventilation
increased rate and depth of breathing
hypoxemia
decreased level of oxygen in the blood
intercostal space
space between the ribs
Kussmaul respiration
type of hyperventilation that occurs with diabetic ketoacidosis
orthopnea
difficulty breathing when supine
percussion
striking over the chest wall with short, sharp blows of the fingers to determine the size and density of the underlying organ
pleural effusion
abnormal fluid collection between the layers of the pleura
rhonchi
continuous, adventitious lung sound characterized as low-pitched, musical, and snoring (sonorous) or moaning in quality
tachypnea
rapid, shallow breathing; more than 24 breaths per minute
vesicular
soft, low-pitched, normal breath sounds heard over peripheral lung fields
wheeze
high-pitched, musical, squeaking adventitious lung sound
angina pectoris
acute chest pain that occurs when myocardial demand exceeds its oxygen supply
aortic valve
the left semilunar valve separating the left ventricle and the aorta
apex of the heart
tip of the heart pointing down toward the 5th left intercostal space
apical impulse
point of maximal impulse (PMI); pulsation created as the left ventricle rotates against the chest wall during systole, normally at the 5th left intercostal space in the midclavicular line
bell (of the stethoscope)
cup-shaped endpiece used for soft, low-pitched heart sounds
bradycardia
slow heart rate, less than 50 beats per minute in the adult
clubbing
bulbous enlargement of distal phalanges of fingers and toes that occurs with chronic cyanotic heart and lung conditions
cyanosis
dusky blue discoloration of the skin and mucous membranes due to excessive amount of deoxygenated hemoglobin in the blood
diaphragm (of the stethoscope)
flat endpiece of the stethoscope used for hearing relatively high-pitched heart sounds
diastole
the heart's filling phase
edema
swelling of legs or dependent body part due to increased interstitial fluid
Erb's point
traditional auscultatory area in the 3rd left intercostal space
First heart sound (S1)
occurs with closure of the atrioventricular valves signaling the beginning of systole
second heart sound (S2)
occurs with closure of the semilunar valves, aortic and pulmonic; signals the end of systole
mitral valve
left atrioventricular valve separating the left atrium and ventricle
palpitation
uncomfortable awareness of rapid or irregular heart rate
syncope
temporary loss of consciousness due to decreased cerebral blood flow (fainting); caused by ventricular asystole, pronounced bradycardia, or ventricular fibrillation
systole
the heart's pumping phase
tricuspid valve
right atrioventricular valve separating the right atrium and ventricle
aneurysm
defect or sac formed by dilation in artery wall due to atherosclerosis, trauma, or congenital defect
arrhythmia
variation from the heart's regular rhythm
arteriosclerosis
thickening and loss of elasticity of the arterial walls
atherosclerosis
plaques of fatty deposits formed in the inner layer (intima) of the arteries
bruit
blowing, swooshing sound heard through a stethoscope when an artery is partially occluded
ischemia
deficiency of arterial blood to a body part due to constriction or obstruction of a blood vessel
lymph nodes
small oval clumps of lymphatic tissue located at grouped intervals along lymphatic vessels
lymphedema
swelling of the extremity due to obstructed lymph channel, nonpitting
pitting edema
indentation left after examiner depresses the skin over swollen edematous tissue
pulse
pressure wave created by each heartbeat, palpable at body sites where the artery lies close to the skin and over a bone
thrombophlebitis
inflammation of the vein associated with thrombus formation
ulcer
open skin lesion extending into dermis, with sloughing of necrotic inflammatory tissue
varicose veins
dilated tortuous veins with incompetent valves
base of the heart
broader area of the heart's outline located at the 3rd right and left intercostal spaces
tachycardia
rapid heart rate, greater than 95 beats per minute in adults